Organization
FRED R.I. ROLLINS, D.O. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED ROLLINS DO (PRESIDENT)
(231) 773-8853
Entity
Organization
Contact information
Practice address
1790 OAK AVE, MUSKEGON, MI 49442-2407
(231) 773-8853
Mailing address
1790 OAK AVE, MUSKEGON, MI 49442-2407
(231) 773-8853
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4208474
—
MI
Enumeration date
03/15/2010
Last updated
03/15/2010
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